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Gloria Deleon
Dental Assistant
Center Point,TX
Work Preference
Summary
Detail-oriented claims examiner with extensive experience in claims processing and regulatory compliance. Skilled in analyzing complex claims to ensure accuracy, leading to improved operational efficiency and customer satisfaction. Currently enrolled in Dental Assisting of Texas with an externship secured at Hill Country Dental Associates in Kerrville, TX. Expected graduation date is November 5, 2026.
Overview
1
1
Language
2027
2027
years of professional experience
Work History
Claims Examiner
United Healthcare
San Antonio, Texas
01.2013 - 05.2026
- Analyzed complex claims to assess eligibility for benefits.
- Reviewed claims for accuracy and compliance with company policies.
- Developed comprehensive knowledge of company policies and procedures for claim processing.
- Executed data entry into computer system to record claim status.
Premium Telephone Auditor
The Hartford Insurance Group
San Antonio, Texas
01.2012 - 05.2012
- Conducted comprehensive audits to ensure compliance with regulations and organizational policies, enhancing accountability.
- Reviewed financial statements to verify accuracy and completeness, supporting informed decision-making.
- Prepared detailed reports documenting audit findings for management review.
- Maintained current knowledge of industry regulations and standards.
- Evaluated internal control systems and financial records for accuracy, identifying areas for improvement.
Call Center Manager
Travelocity.com
San Antonio, Texas
2000 - 2004
- Responsible for 24x7 Full operation support of San Antonio Site.
- Managed call routing and distribution to ensure efficient communication flow.
- Coordinated staff schedules to maintain optimal call center coverage.
- Implemented tools for tracking call metrics and identifying improvement areas.
- Prepared reports on team performance, customer feedback, and operational metrics for senior management.
Education
Business Administration
Solano Community College
Fairfield, CABusiness Administration
University of California
Riverside, CASkills
- Claims processing
- Regulatory compliance
- Data analysis
- Audit reporting
- Financial review
- Customer service
Languages
Spanish
Limited
Timeline
Claims Examiner
United Healthcare
01.2013 - 05.2026
Premium Telephone Auditor
The Hartford Insurance Group
01.2012 - 05.2012
Call Center Manager
Travelocity.com
2000 - 2004
Business Administration
Solano Community College
Business Administration
University of California